Individual provider · Type 1 NPI

Eloise Jackson

Licensed Practical Nurse · Johnson City, TN

NPI number 1750015327 Active

Practice location

219 Princeton Rd
Johnson City, TN 37601-2052

Call (423) 975-2200 Map

Fax (423) 975-2210

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X90697 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750015327

Eloise Jackson's National Provider Identifier is 1750015327, issued on Jul 11, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 11, 2022.